Kevin David Wotring, is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Leesport, Pennsylvania. He went to Temple University School Of Podiatric Medicine and graduated in 2022 and has 4 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Gslpg, Inc, Phoenix Rehabilitation And Health Services Inc, St Lukes Physician Group Inc and his current practice location is
60 Cherry St Ste 210, Leesport, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(833) 822-5221.
Kevin David Wotring is licensed to practice in Pennsylvania (license number SC007284) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1548901168.
Healthcare Provider's Profile
| Full Name | Kevin David Wotring |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 4 Years |
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| Location | 60 Cherry St Ste 210, Leesport, Pennsylvania |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kevin David Wotring attended and graduated from Temple University School Of Podiatric Medicine in 2022
NPI Data:
- NPI Number: 1548901168
- Provider Enumeration Date: 04/06/2022
- Last Update Date: 05/20/2026
Medicare PECOS Information:
- PECOS PAC ID: 3678090461
- Enrollment ID: I20250506000666
Medical Identifiers
Medical identifiers for Kevin David Wotring such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1548901168 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0103X | Podiatrist - Foot & Ankle Surgery | SC007284 (Pennsylvania) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Pennsylvania) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Gslpg, Inc | 7810226875 | 263 |
| Phoenix Rehabilitation And Health Services Inc | 3476464298 | 2687 |
| St Lukes Physician Group Inc | 6709798333 | 2160 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kevin David Wotring allows following entities to bill medicare on his behalf.
| Provider Name | St Lukes Physician Group Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1700984622
PECOS PAC ID: 6709798333
Enrollment ID: O20040226000062 |
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| Provider Name | Gslpg, Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1366006702
PECOS PAC ID: 7810226875
Enrollment ID: O20190917001763 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kevin David Wotring is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Kevin David Wotring,
60 Cherry St Ste 210,
Leesport, PA 19533-8503
Ph: (484) 822-5221 | Kevin David Wotring,
60 Cherry St Ste 210,
Leesport, PA 19533-8503
Ph: (833) 822-5221 |
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